Individual
AHMAD ALHARIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2020
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01079155A
IN
207R00000X
Internal Medicine Physician
Primary
295429
MA
208M00000X
Hospitalist Physician
295429
MA
390200000X
Student in an Organized Health Care Education/Training Program
2010021662
MO
Other
Enumeration date
08/16/2010
Last updated
11/08/2024
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